C. Emma Burrous, Ph.d., Plc | |
118 Pine St Burlington VT 05401-8421 | |
(802) 657-4042 | |
(802) 862-4062 |
Full Name | C. Emma Burrous, Ph.d., Plc |
---|---|
Speciality | Psychologist - Clinical |
Location | 118 Pine St, Burlington, Vermont |
Authorized Official Name and Position | C. Emma Burrous (OWNER) |
Authorized Official Contact | 8026574042 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
C. Emma Burrous, Ph.d., Plc 118 Pine St Burlington VT 05401-8421 Ph: (802) 657-4042 | C. Emma Burrous, Ph.d., Plc 118 Pine St Burlington VT 05401-8421 Ph: (802) 657-4042 |
NPI Number | 1013264498 |
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Provider Enumeration Date | 08/05/2012 |
Last Update Date | 08/05/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013264498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 048-0000905 (Vermont) | Primary |
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